| Paula Wilson Lpc Llc | |
|
3722 S Straits Hwy Indian River MI 49749-5117 | |
| (231) 622-3323 | |
| Not Available |
| Full Name | Paula Wilson Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 3722 S Straits Hwy, Indian River, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Wilson Lpc Llc 8378 Dekruif Rd Levering MI 49755-9740 Ph: () - | Paula Wilson Lpc Llc 3722 S Straits Hwy Indian River MI 49749-5117 Ph: (231) 622-3323 |
| NPI Number | 1720711609 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720711609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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